Individual provider Active NPI

Mohammed Al-Kadiri, MD

  • Urgent Care Clinic/Center
  • Vienna, VA
National Provider Identifier
1922040278
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
0101241399 Issued in VA
Practice address
305 Maple Avenue West
Suite a
Vienna, VA 22180
Phone
(571) 407-7004
NPI assigned
Jun 12, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-098581 IL
Primary Care Clinic/Center 261QP2300X 0101241399 VA
Urgent Care Clinic/Center 261QU0200X 0101241399 VA Primary

Addresses

Primary practice location

305 Maple Avenue West
Suite a
Vienna, VA 22180

Mailing address

305 Maple Avenue West
Suite a
Vienna, VA 22180
Phone (571) 407-7004

Other identifiers 5

IdentifierTypeStateIssuer
036098581MedicaidIL
06032182OtherILBLUE CROSS BLUE SHIELD
08232205OtherILBLUE CROSS BLUE SHIELD
P00350409OtherILRAILROAD MEDICARE
08232204OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080228000395 DC Practitioner - Emergency MedicinePractitioner - Family Practice 4981696176 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health CheckGroup PAC ID 7113390402, 2 clinicians

Practice addresses (Care Compare)

305 Maple Ave W
Suite a
Vienna, VA 22180-4306
Phone (571) 407-7004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-098581ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Check Urgent Care, PLLC Urgent Care CurrentSince Nov 18, 2025 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Commonwealth Medical Center, PLLC CurrentSince Apr 20, 2021 Accepting new patients
Health Check, PLLC Primary Care CurrentSince Nov 1, 2022 Accepting new patients
Inova Health Care Services Current Accepting new patients
Midwest Emergency Centralia Campus Associates, Inc Emergency Medicine Past Accepting new patients
Midwest Emergency Management, Inc. Emergency Medicine Past Accepting new patients
Midwest Emergency Department Services Inc Emergency Medicine Past Accepting new patients
Midwest Emergency Services Inc Emergency Medicine Past Accepting new patients

Locations

320 23rd St S
Ste 200
Arlington, VA 22202
Phone (703) 558-4922

3535 S Ball St
Ste A
Arlington, VA 22202
Phone (703) 558-4922

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

305 Maple Ave W
Vienna, VA 22180
Phone (703) 992-7779

305 Maple Ave W
Ste A
Vienna, VA 22180
Phone (571) 407-7004

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25520/brand/1/csg/1/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1922040278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MAPLE AVENUE WEST",
            "address_2": "SUITE A",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22180",
            "telephone_number": "571-407-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MAPLE AVENUE WEST",
            "address_2": "SUITE A",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22180",
            "telephone_number": "571-407-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-KADIRI",
        "first_name": "MOHAMMED",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-098581",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101241399",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "VA",
            "license": "0101241399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098581",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "06032182",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08232205",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00350409",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08232204",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.